SEC Form 4 · accession 0001464631-17-000002
Embassy Bancorp, Inc. · EMYB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David M Lobach Jr.
Officer — President, CEO · Director
Period of report
Feb 17, 2017
Accepted (ET)
Feb 22, 2017 · 5:39 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001449794
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 17, 2017 | J | 618 | $0.00 | D | 0 | I | By Red Bird Associates LLC |
| Common Stock | holding | — | — | — | 206,601 | D | ||
| Common Stock | holding | — | — | — | 129,704 | I | By IRA | |
| Common Stock | holding | — | — | — | 46,304 | I | By Spouse IRA | |
| Common Stock | holding | — | — | — | 206 | I | By PUGTMA for Grand Child |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reflects the disposition of 618 shares of Embassy Bancorp, Inc. common stock previously reported by the reporting person as indirectly beneficially owned due to such person's interest in Red Bird Associates, LLC (the "LLC"). As a result of a change in the management structure of the LLC, the reporting person is no longer a beneficial owner of such shares.